Whipple, Bonnie L
Whipple, Bonnie L is an sole proprietor health care provider with primary practice located at 905 Us Rte 522 Evangelical Medical Building, Selinsgrove PA 17870. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Whipple, Bonnie L can be contacted via phone (570) 374-0496.Contact Information
Primary practice address
905 Us Rte 522 Evangelical Medical Building
Selinsgrove PA 17870
Phone: (570) 374-0496
Fax: (570) 374-3295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS-006902L | Pennsylvania |
Profile Details
| NPI number | 1609841600 |
|---|---|
| LBN Legal business name | Whipple, Bonnie L |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | May 24th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609841600 | NPPES |
| Pennsylvania | MEDICAID | 0018933940003 | |
| Pennsylvania | Other | 50009445 | |
| Pennsylvania | Other | 001411997 |
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